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1730424805
JOSEPH MICHAEL JOHN RUSSELL
EUGENE, OR
NPI
1730424805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-11-30
Last Update Date
2015-11-12
Business Address
-- JOSEPH MICHAEL JOHN RUSSELL PA
2830 CRESCENT AVE
EUGENE, OR 97408-7397
Phone number: 541-686-9000
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Mailing Address
-- JOSEPH MICHAEL JOHN RUSSELL PA
PO BOX 1648
EUGENE, OR 97440-1648
Phone number: 541-686-9000
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